Individual
SHELLY O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
3041 FISHER RD, INDIANAPOLIS, IN 46239-1356
(317) 402-3262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002959A
IN
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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